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OK 75 Year OldW. Male,5'10, 200lb ,very Fit ,6 Hrs

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Posted on Sat, 5 Sep 2020
Question: OK 75 year oldW. male,5'10, 200lb ,very fit ,6 hrs tennis and 2 sessions resistance per week average but heavy on stomach like ¼ of old white guys .
My TSH was 5.4 ,which in 2010 was topped OK at 6.0 but now 4.5 TSH.
Other then gain weight easy and in center mass NO Symptoms on the list .
20 years ago weighed 206 lbs ,last week 203 lbs
, low about 2004-5 185.
My BP was always very lower 72-110-126 range .Now its jumped up since i started taking .25 MG Levothyroxine a week ago to BP now is 89-145 range ? I had no recent BP's so I cannot just say 100% it changed overnight but its only been high in 'Dr office ,white coat syndrome. over the years.I had some year old readings in the 120;s ........I will gladly pay for how to handle this....... I may stop the hormone for a week and see what the BP does .I take magnesium calcium, Zinc vitamin daily for CV19 protection too .

.25 Bistolic daily and atorvastatin .10 4X a week my other drugs
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Follow up: Dr. Dr. Elona (0 minute later)
OK 75 year oldW. male,5'10, 200lb ,very fit ,6 hrs tennis and 2 sessions resistance per week average but heavy on stomach like ¼ of old white guys .
My TSH was 5.4 ,which in 2010 was topped OK at 6.0 but now 4.5 TSH.
Other then gain weight easy and in center mass NO Symptoms on the list .
20 years ago weighed 206 lbs ,last week 203 lbs
, low about 2004-5 185.
My BP was always very lower 72-110-126 range .Now its jumped up since i started taking .25 MG Levothyroxine a week ago to BP now is 89-145 range ? I had no recent BP's so I cannot just say 100% it changed overnight but its only been high in 'Dr office ,white coat syndrome. over the years.I had some year old readings in the 120;s ........I will gladly pay for how to handle this....... I may stop the hormone for a week and see what the BP does .I take magnesium calcium, Zinc vitamin daily for CV19 protection too .

.25 Bistolic daily and atorvastatin .10 4X a week my other drugs
doctor
Answered by Dr. Dr. Elona (22 hours later)
Brief Answer:
Relax and practice stress relief.

Detailed Answer:
Hello
I have gone through your query and understood your concern.

The white coat syndrome is a condition of a temporary hypertension (high blood pressure) that happens only when you see a doctor.
The blood pressure rise in your doctor's office and normalise immediately without specific treatements when you leave this place.
Don't worry!A lot of people have this "little" problem.

I suggest to try these tips to manage this problem.
If you’re feeling anxious or worried when you sit down to have your blood pressure measured, ask the doctor or nurse to wait a bit so you can calm down.

Breathe deeply and exhale slowly. Try a few of these breaths before your blood pressure reading.


About your TSH level,i can say that the actual resut is within the range and for this reason,i don't think that Levothyroxine is the root cause of your blood pressure jumped up.

I suggest to consult a cardiologist in your area for an heart ultrasound and the follow up of your blood pressure fluctuations.

Hope this is helpful.
Wish you good health.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Dr. Elona (0 minute later)
Brief Answer:
Relax and practice stress relief.

Detailed Answer:
Hello
I have gone through your query and understood your concern.

The white coat syndrome is a condition of a temporary hypertension (high blood pressure) that happens only when you see a doctor.
The blood pressure rise in your doctor's office and normalise immediately without specific treatements when you leave this place.
Don't worry!A lot of people have this "little" problem.

I suggest to try these tips to manage this problem.
If you’re feeling anxious or worried when you sit down to have your blood pressure measured, ask the doctor or nurse to wait a bit so you can calm down.

Breathe deeply and exhale slowly. Try a few of these breaths before your blood pressure reading.


About your TSH level,i can say that the actual resut is within the range and for this reason,i don't think that Levothyroxine is the root cause of your blood pressure jumped up.

I suggest to consult a cardiologist in your area for an heart ultrasound and the follow up of your blood pressure fluctuations.

Hope this is helpful.
Wish you good health.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Elona (1 hour later)
OK , its just odd that for years my BP was like 76-126.I exercise a lot .
I do have leg cramps at night and re-hydrate a lot and use that calcium to rub on my calves before sleep but it still happens and is painful.
The TSH at 5.4 is lower then the OLD 2010 era estimate of 6.0 but now its limit is 4.5 and my TSH is 5.4 .
My pulse rate remains low at high 40s sleeping and 55-62 resting .
I have had stress test 4 years ago and heart ultra sound and other then those sort of missed jumpy beats my cardiologist Dr Tharaja seems to dismiss .
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Follow up: Dr. Dr. Elona (0 minute later)
OK , its just odd that for years my BP was like 76-126.I exercise a lot .
I do have leg cramps at night and re-hydrate a lot and use that calcium to rub on my calves before sleep but it still happens and is painful.
The TSH at 5.4 is lower then the OLD 2010 era estimate of 6.0 but now its limit is 4.5 and my TSH is 5.4 .
My pulse rate remains low at high 40s sleeping and 55-62 resting .
I have had stress test 4 years ago and heart ultra sound and other then those sort of missed jumpy beats my cardiologist Dr Tharaja seems to dismiss .
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Follow up: Dr. Dr. Elona (17 hours later)
I am having a few more Ocular migraines (both eyes ,the flashing moving flyers that take 10% vision away for 15-20 min then usually stop ) then I did befire its gone from two a year to two a month and now two a week with the higher blood pressure .I know these Ocular both eyes spasms are not supposed to be deadly and I have no trouble talking when it happens ,little or no tingle and no real headache follows but I do not like this and certainly can say it stress me. I have gone to .50 Bistolic BP med from .25 to see if that helps and two advil migraine pills if it happens .please reply or refer to another expert on this .Soon .
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Follow up: Dr. Dr. Elona (0 minute later)
I am having a few more Ocular migraines (both eyes ,the flashing moving flyers that take 10% vision away for 15-20 min then usually stop ) then I did befire its gone from two a year to two a month and now two a week with the higher blood pressure .I know these Ocular both eyes spasms are not supposed to be deadly and I have no trouble talking when it happens ,little or no tingle and no real headache follows but I do not like this and certainly can say it stress me. I have gone to .50 Bistolic BP med from .25 to see if that helps and two advil migraine pills if it happens .please reply or refer to another expert on this .Soon .
doctor
Answered by Dr. Dr. Elona (28 hours later)
Brief Answer:
Normal blood pressure

Detailed Answer:
Hi again,
I apologize for the late reply.

If your blood pressure(BP) has been 76-126mmHg for years this means that you had normal BP for all these years and your antihypertensive treatment is Ok.

About your leg cramps, they could happen because you work your muscles too much, or because of possible blood flow problems.

Your calcium and magnesium supplements and stretching your muscle before bed can be helpful.
I suggest consulting your local physician because apart from your medical history and your symptoms it is necessary to do a physical exam and some blood tests to look/check for the root cause of your nocturnal leg cramps. Only if we find the cause, you can have the right treatment.

A normal resting heart rate for adults ranges from 60 to 100 beats per minute. During the night, heart rate varies widely between individuals: it can be between 40–100 beats per minute and still be considered normal.
So, your pulse rate is within the range.

Your beta-blocker drug(Bystolic) can cause low heart rate, for this reason, my advice is to talk with your treating cardiologist about the right doses of Bystolic, in order to have well-controlled blood pressure and optimal heart rate.

There are certain medication used to treat ocular migraine if this condition stresses and impact your everyday life.

Hope this is useful.
Best regards.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr. Elona (0 minute later)
Brief Answer:
Normal blood pressure

Detailed Answer:
Hi again,
I apologize for the late reply.

If your blood pressure(BP) has been 76-126mmHg for years this means that you had normal BP for all these years and your antihypertensive treatment is Ok.

About your leg cramps, they could happen because you work your muscles too much, or because of possible blood flow problems.

Your calcium and magnesium supplements and stretching your muscle before bed can be helpful.
I suggest consulting your local physician because apart from your medical history and your symptoms it is necessary to do a physical exam and some blood tests to look/check for the root cause of your nocturnal leg cramps. Only if we find the cause, you can have the right treatment.

A normal resting heart rate for adults ranges from 60 to 100 beats per minute. During the night, heart rate varies widely between individuals: it can be between 40–100 beats per minute and still be considered normal.
So, your pulse rate is within the range.

Your beta-blocker drug(Bystolic) can cause low heart rate, for this reason, my advice is to talk with your treating cardiologist about the right doses of Bystolic, in order to have well-controlled blood pressure and optimal heart rate.

There are certain medication used to treat ocular migraine if this condition stresses and impact your everyday life.

Hope this is useful.
Best regards.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Elona (4 hours later)
Ok last question and it’s important. What drug do you know of that is used to treat the ocular kaleidoscope 15-30 min light show floating around both eyes that seems to occur Maybe with stress induced high blood pressure. I need the name please.
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Follow up: Dr. Dr. Elona (0 minute later)
Ok last question and it’s important. What drug do you know of that is used to treat the ocular kaleidoscope 15-30 min light show floating around both eyes that seems to occur Maybe with stress induced high blood pressure. I need the name please.
doctor
Answered by Dr. Dr. Elona (19 hours later)
Brief Answer:
Managing stress is important

Detailed Answer:
Hello,

Kaleidoscopic vision is most often caused by ocular migraine.

Currently, no cure exists for migraine.
Kaleidoscope vision, along with any other migraine symptoms, will typically go away on their own within an hour.

Certain medications like ibuprofen,metoclopramide or dihydroergotamine can help to treat migraine symptoms.

There are also some medications (Verapamil, Timidolol, antidepressant medication ) that are prescribed off-label (i.e. for uses other than their intended purpose) that can help prevent migraines.

I suggest to consult a neurologist in your area for the right treatement of your ocular migraine.

Hope i have answered to all your questions.
Wish you good health


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr. Elona (0 minute later)
Brief Answer:
Managing stress is important

Detailed Answer:
Hello,

Kaleidoscopic vision is most often caused by ocular migraine.

Currently, no cure exists for migraine.
Kaleidoscope vision, along with any other migraine symptoms, will typically go away on their own within an hour.

Certain medications like ibuprofen,metoclopramide or dihydroergotamine can help to treat migraine symptoms.

There are also some medications (Verapamil, Timidolol, antidepressant medication ) that are prescribed off-label (i.e. for uses other than their intended purpose) that can help prevent migraines.

I suggest to consult a neurologist in your area for the right treatement of your ocular migraine.

Hope i have answered to all your questions.
Wish you good health

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Dr. Dr. Elona

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OK 75 Year OldW. Male,5'10, 200lb ,very Fit ,6 Hrs

OK 75 year oldW. male,5'10, 200lb ,very fit ,6 hrs tennis and 2 sessions resistance per week average but heavy on stomach like ¼ of old white guys . My TSH was 5.4 ,which in 2010 was topped OK at 6.0 but now 4.5 TSH. Other then gain weight easy and in center mass NO Symptoms on the list . 20 years ago weighed 206 lbs ,last week 203 lbs , low about 2004-5 185. My BP was always very lower 72-110-126 range .Now its jumped up since i started taking .25 MG Levothyroxine a week ago to BP now is 89-145 range ? I had no recent BP's so I cannot just say 100% it changed overnight but its only been high in 'Dr office ,white coat syndrome. over the years.I had some year old readings in the 120;s ........I will gladly pay for how to handle this....... I may stop the hormone for a week and see what the BP does .I take magnesium calcium, Zinc vitamin daily for CV19 protection too . .25 Bistolic daily and atorvastatin .10 4X a week my other drugs